Chapter 16: Assessment and Care of the Newborn

"When riding in a car, your baby should be secured in a child safety seat in a rear-facing position for the first 12 months of life." "Your baby may require assistance clearing the airway via the bulb syringe after spitting up."

During the discharge teaching process, which statements should the nurse include when teaching the parents of a newborn to enhance safety? (Select all that apply.)

Melanocytic nevus on the left forearm

The nurse is conducting a skin assessment for a newborn patient. Which data indicate a normal skin vari-ation that requires no further intervention?

Using an approved scale to monitor for pain Documenting the first void in the medical record postprocedure

The nurse is providing care to a newborn postcircumcision. Which actions by the nurse are appropriate? (Select all that apply.)

Cooling the heel to increase circulation

When the licensed practical nurse (LPN) is drawing newborn blood via a heel stick, which action re-quires intervention by the RN?

Scrubbing the vernix off the skin

Which action by the nurse is inappropriate when performing the newborn bath in the nursery?

Establishing rapport

Which action should the nurse implement to enhance parental comfort during the discharge teaching process?

Gynecomastia

Which assessment finding should the nurse anticipate for a male newborn as a result of exposure to ma-ternal hormones?

Bruising and swelling of the scalp that crosses the suture line

Which data cause the nurse to document a caput succedaneum when conducting a newborn assessment?

Cyanosis

Which data noted by the nurse during the newborn skin assessment require a report to the registered nurse (RN) in charge of the shift?

Axillary temperature of 96.8°F (37°C)

Which datum collected by the nurse is indicative of normal newborn vital signs?

Genetic Metabolic Endocrine

Which disorders are assessed when conducting a newborn screening process? (Select all that apply.)

Hepatitis B

Which immunization(s) should the nurse plan to administer as part of normal newborn care prior to dis-charge?

Observing the newborn's skin color

Which is the nurse's first action when conducting a head-to-toe assessment of a newborn?

Including the newborn's sibling in the educational session

Which nursing action enhances family-centered care during the discharge teaching process?

Placing the newborn on the back to sleep Reporting newborn cyanosis to the health-care provider

Which nursing actions enhance safety when providing newborn care? (Select all that apply.)

"Because my baby didn't start eating by mouth until today, we will wait until tomorrow for the newborn screening test."

Which parental statement regarding newborn screening indicates correct understanding of the infor-mation presented by the nurse?

Babinski

Which reflex is considered normal during the newborn stage of development, but considered abnormal after 2 years of life?

"This tool is used to assess gestational age on the basis of six areas of neurological and physical activity."

Which statement regarding the New Ballard gestational assessment tool is accurate?

Lanugo

Which term should the nurse use to describe the fine, downy hair that covers the forehead, ears, and body of the newborn?

Emergency

Which type of assessment should the nurse conduct to identify life-threatening problems when providing care to a newborn?